Dr Avanthi Tayi Shah, MD in Dallas, TX

Dr Avanthi Tayi Shah, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Dallas, Texas. Her current practice location is 5323 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 456-2382.

Dr Avanthi Tayi Shah is licensed to practice in Texas (license number P3978) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821230319.

Contact Information

	Dr Avanthi Tayi Shah, MD
	5323 Harry Hines Blvd, Dallas, TX 75390-1811
	(214) 456-2382
	(214) 456-6133

Map and Direction

Physician's Profile

Full Name	Dr Avanthi Tayi Shah
Gender	Female
Speciality	Pediatrics - Pediatric Hematology-oncology
Location	5323 Harry Hines Blvd, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821230319
Provider Enumeration Date: 03/30/2009
Last Update Date: 12/14/2020

Medicare PECOS Information:

PECOS PAC ID: 0547417271
Enrollment ID: I20120830000564

Medical Identifiers

Medical identifiers for Dr Avanthi Tayi Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821230319	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A124972 (California)	Secondary
208000000X	Pediatrics	P3978 (Texas)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	A124972 (California)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	P3978 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Avanthi Tayi Shah allows following entities to bill medicare on her behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Avanthi Tayi Shah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Avanthi Tayi Shah, MD Po Box 845347, Dallas, TX 75284-5347 Ph: (214) 456-2382	Dr Avanthi Tayi Shah, MD 5323 Harry Hines Blvd, Dallas, TX 75390-1811 Ph: (214) 456-2382

Reviews and Comments

Pediatrics Doctors in Dallas, TX

Dr. Jyothsna Gattineni, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3438
Ruth Osei Fordjour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-957-4754
Dr. Alecia Curlene Nero, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-4180
Dr. Sravani Avula, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-730-5437
Asif Zia Khattak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-7604
Sadia Malik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-2533 Fax: 214-456-8130
Sana Jamil Siddiqui, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-0488 Fax: 214-456-4486

Dr Avanthi Tayi Shah, MD - Medicare Pediatrics in Dallas, TX